Provider Demographics
NPI:1952429136
Name:DARRAH, LARRY R (RN)
Entity type:Individual
Prefix:
First Name:LARRY
Middle Name:R
Last Name:DARRAH
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:222 N 5TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MARTINS FERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43935-1582
Mailing Address - Country:US
Mailing Address - Phone:740-633-6480
Mailing Address - Fax:740-633-6475
Practice Address - Street 1:222 N 5TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MARTINS FERRY
Practice Address - State:OH
Practice Address - Zip Code:43935-1582
Practice Address - Country:US
Practice Address - Phone:740-633-6480
Practice Address - Fax:740-633-6475
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHNP07360363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics